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How Can Augmentative and Alternative Communication (AAC) Support Students with Autism? 

Author: Beatrice Holloway, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

For many autistic students, spoken language is only one part of how they communicate. Some may rely on gestures, pictures, or technology to express themselves more effectively. Augmentative and Alternative Communication (AAC) provides essential tools to help students share ideas, emotions, and needs building understanding, inclusion, and confidence. 

According to NICE guidance (CG170, 2025 update), AAC should be considered for any autistic person who struggles with speech or communication in specific contexts. When used consistently and respectfully, AAC enables participation, reduces anxiety, and supports learning. 

What Is AAC? 

AAC covers a wide range of support, from low-tech visual aids (like symbols or communication books) to high-tech tools (such as tablet-based speech apps and electronic devices). The National Autistic Society (NAS) defines AAC as any method that enhances or replaces speech, empowering students to communicate in ways that feel natural to them. 

Common AAC systems include: 

  • PECS (Picture Exchange Communication System) 
  • Makaton or sign-supported communication 
  • Speech-generating devices (SGDs) 
  • Visual schedules, cue cards, and communication boards 

The goal isn’t to replace speech but to expand access to communication and understanding. 

How AAC Supports Learning and Inclusion 

AAC helps bridge communication gaps and promotes independence. The NHS England Sensory-Friendly Resource Pack (2023) explains that AAC reduces frustration by allowing students to express needs clearly, which in turn improves emotional regulation and classroom engagement. 

The Autism Education Trust (AET) highlights several educational benefits: 

  • Improved understanding: Visual cues reinforce spoken instruction. 
  • Reduced anxiety: Students know they can communicate even in stressful moments. 
  • Better participation: AAC gives students equal opportunities to contribute to class. 
  • Enhanced social connection: Tools like PECS and communication apps make interaction with peers and teachers easier. 

AAC therefore supports both social-emotional growth and academic achievement. 

Choosing the Right AAC System 

Selecting the right AAC method depends on each student’s needs, preferences, and sensory profile. The Royal College of Speech and Language Therapists (RCSLT) recommends that decisions about AAC use should always involve speech and language therapists, teachers, and families working collaboratively. 

Effective AAC planning includes: 

  • Assessment by a speech-language therapist or occupational therapist. 
  • Customisation to suit visual, auditory, or motor preferences. 
  • Training for teachers and peers to use AAC tools consistently. 
  • Review as communication skills develop or change. 

This collaborative process ensures that AAC is empowering, not restrictive. 

Addressing Common Misconceptions 

A frequent concern is that AAC might “delay” speech development, but evidence shows the opposite. The Ambitious About Autism Education Report (2025) found that AAC actually supports verbal communication by reducing anxiety and improving confidence. Students who feel heard are more willing to use speech when ready. 

Teachers can help by integrating AAC naturally into lessons using symbols on boards, pairing visuals with instructions, and encouraging peers to respect all forms of communication. 

Embedding AAC in Daily School Life 

The DfE SEND Improvement Plan (2023) and AET frameworks encourage schools to make AAC part of daily routines. Examples include: 

  • Visual timetables for transitions. 
  • Accessible classroom displays with symbols or text. 
  • Digital AAC apps for expressing feelings during lessons. 
  • Teacher modelling of AAC alongside speech. 

This inclusive approach benefits all students supporting autistic learners while strengthening universal communication in the classroom. 

Reassuring Next Step 

If you’d like to better understand your child’s communication needs, Autism Detect offers private autism assessments for adults and children. Their aftercare service helps families and educators implement NICE and NHS England AAC strategies to enhance learning and connection. 

Takeaway 

Backed by NICEAET, and RCSLT, AAC empowers autistic students to express themselves authentically. By recognising and supporting diverse communication styles, educators can create inclusive classrooms where every student is heard and understood. 

Beatrice Holloway, MSc
Beatrice Holloway, MSc
Author

Beatrice Holloway is a clinical psychologist with a Master’s in Clinical Psychology and a BS in Applied Psychology. She specialises in CBT, psychological testing, and applied behaviour therapy, working with children with autism spectrum disorder (ASD), developmental delays, and learning disabilities, as well as adults with bipolar disorder, schizophrenia, anxiety, OCD, and substance use disorders. Holloway creates personalised treatment plans to support emotional regulation, social skills, and academic progress in children, and delivers evidence-based therapy to improve mental health and well-being across all ages.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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